Related Experiment Videos

The effect of postoperative gastrointestinal complications in patients undergoing coronary artery bypass surgery

José L Díaz-Gómez1, Benjamin Nutter, Meng Xu

  • 1Department of Cardiothoracic Anesthesia, Cleveland Clinic, Cleveland, Ohio 45195, USA. diazj@ccf.org

The Annals of Thoracic Surgery
|July 9, 2010
PubMed

Insights

Gastrointestinal complications after coronary artery bypass graft surgery (CABG) are rare but significantly increase mortality. Intra-aortic balloon pump use and fresh-frozen plasma are linked to these complications, warranting further study.

Area of Science:

  • Cardiovascular Surgery
  • Gastrointestinal Surgery
  • Critical Care Medicine

Background:

  • Gastrointestinal (GI) complications following coronary artery bypass graft surgery (CABG) are infrequent but carry a high mortality risk.
  • Identifying factors associated with GI complications is crucial for improving patient outcomes after CABG.

Purpose of the Study:

  • To identify variables associated with postoperative GI complications in patients undergoing isolated CABG.
  • To analyze the impact of these GI complications on postoperative mortality.

Main Methods:

  • A 12-year retrospective analysis of patients undergoing isolated CABG was conducted using an anesthesiology registry.
  • Multivariable logistic regression was employed to determine predictors of GI complications and their association with mortality.

Main Results:

  • The incidence of GI complications was 1.43% (213/16,043 patients).
  • Key predictors included intra-aortic balloon pump insertion (preoperative and intraoperative), patient age, intraoperative fresh-frozen plasma transfusion, and cardiogenic shock.
  • Postoperative GI complications were associated with a 12.98-fold increase in mortality (p < 0.001).

Conclusions:

  • GI complications after isolated CABG are rare but significantly increase the risk of death.
  • Intraoperative fresh-frozen plasma and intra-aortic balloon pump use are associated with GI complications and require further investigation.
Abstract

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...